BRIAN MATTHEW ZAMZOW Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010212

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

MATTHEW

Last Name

ZAMZOW

Business Name

BRIAN MATTHEW ZAMZOW

Original Issue Date

07/09/2013

Effective Date

10/21/2013

Expiration Date

12/31/2015

City

HUNTINGTON

State

Zip

46750

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016